Depression, suicidality, and alcohol use disorder among people living with HIV/AIDS in Nigeria
Identifieur interne : 000963 ( Main/Exploration ); précédent : 000962; suivant : 000964Depression, suicidality, and alcohol use disorder among people living with HIV/AIDS in Nigeria
Auteurs : Catherine O. Egbe [États-Unis] ; Patrick S. Dakum [Nigeria] ; Ernest Ekong [Nigeria] ; Brandon A. Kohrt [États-Unis] ; John G. Minto [Nigeria] ; Cynthia J. Ticao [Nigeria]Source :
- BMC Public Health [ 1471-2458 ] ; 2017.
Abstract
People Living with HIV/AIDS (PLHIV) face various day-to-day and long-term personal, interpersonal, social, physical and psychological challenges as a result of, and in addition to the health conditions they are susceptible to due to their HIV status. There is a dearth of large-scale research to provide robust prevalence estimates of mental health problems among PLHIV, especially in Nigeria. This study aimed to ascertain the prevalence and factors associated with major depressive episodes, suicidality, and alcohol use disorder among people living with HIV/AIDS in Nigeria.
A survey of 1187 participants aged 18 years and above was conducted within three HIV treatment centres in Abuja, Nigeria. Depression, suicidality, and alcohol use disorder modules of the WHO World Mental Health Composite International Diagnostic Interview questionnaire were used for this study. A socio-demographic questionnaire was also used to collect other health and demographic data. Descriptive statistics (frequency distribution, percentage, mean, median, mode, and standard deviation) and regression analyses were conducted to explore associations between mental health problems and demographic and other health-related factors.
Twelve-month prevalence rates were 28.2% for major depressive episodes, 2.9% for suicidal ideation, 2.3% for suicide attempts, 7.8% for harmful alcohol use, 7.0% for alcohol abuse, and 2.2% for alcohol dependence. Major depressive episodes were significantly associated with having planned suicide and marital status. Suicidal ideation was significantly associated with major depressive episodes, marital status, and religion. Females were less likely to be diagnosed with alcohol disorders.
Some people living with HIV/AIDS also tend to suffer from depression, suicidality, and alcohol use disorders. These findings highlight the need for the integration of mental health services into HIV/AIDS care in Nigeria.
Url:
DOI: 10.1186/s12889-017-4467-5
PubMed: 28577548
PubMed Central: 5457576
Affiliations:
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Egbe</name><affiliation wicri:level="2"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 2297 6811</institution-id><institution-id institution-id-type="GRID">grid.266102.1</institution-id><institution>Center for Tobacco Control Research and Education,</institution><institution>University of California San Francisco,</institution></institution-wrap>530 Parnassus Avenue, Suite 366, San Francisco, CA 94143 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>530 Parnassus Avenue, Suite 366, San Francisco</wicri:cityArea></affiliation></author><author><name sortKey="Dakum, Patrick S" sort="Dakum, Patrick S" uniqKey="Dakum P" first="Patrick S." last="Dakum">Patrick S. Dakum</name><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.421160.0</institution-id><institution></institution><institution>Institute of Human Virology, Nigeria,</institution></institution-wrap>252 Herbert Macaulay Way, Central Business District, Abuja, Nigeria</nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea>252 Herbert Macaulay Way, Central Business District, Abuja</wicri:regionArea><wicri:noRegion>Abuja</wicri:noRegion></affiliation></author><author><name sortKey="Ekong, Ernest" sort="Ekong, Ernest" uniqKey="Ekong E" first="Ernest" last="Ekong">Ernest Ekong</name><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.421160.0</institution-id><institution></institution><institution>Institute of Human Virology, Nigeria,</institution></institution-wrap>252 Herbert Macaulay Way, Central Business District, Abuja, Nigeria</nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea>252 Herbert Macaulay Way, Central Business District, Abuja</wicri:regionArea><wicri:noRegion>Abuja</wicri:noRegion></affiliation></author><author><name sortKey="Kohrt, Brandon A" sort="Kohrt, Brandon A" uniqKey="Kohrt B" first="Brandon A." last="Kohrt">Brandon A. Kohrt</name><affiliation wicri:level="2"><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1936 7961</institution-id><institution-id institution-id-type="GRID">grid.26009.3d</institution-id><institution>Duke Global Health Institute & Department of Psychiatry,</institution><institution>Duke University,</institution></institution-wrap>Box 90519, Durham, NC 27708 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Caroline du Nord</region></placeName><wicri:cityArea>Box 90519, Durham</wicri:cityArea></affiliation></author><author><name sortKey="Minto, John G" sort="Minto, John G" uniqKey="Minto J" first="John G." last="Minto">John G. Minto</name><affiliation wicri:level="1"><nlm:aff id="Aff4">Gede Foundation Nigeria, 13 Danube Street, Abuja, Nigeria</nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea>Gede Foundation Nigeria, 13 Danube Street, Abuja</wicri:regionArea><wicri:noRegion>Abuja</wicri:noRegion></affiliation></author><author><name sortKey="Ticao, Cynthia J" sort="Ticao, Cynthia J" uniqKey="Ticao C" first="Cynthia J." last="Ticao">Cynthia J. Ticao</name><affiliation wicri:level="1"><nlm:aff id="Aff4">Gede Foundation Nigeria, 13 Danube Street, Abuja, Nigeria</nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea>Gede Foundation Nigeria, 13 Danube Street, Abuja</wicri:regionArea><wicri:noRegion>Abuja</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Public Health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>People Living with HIV/AIDS (PLHIV) face various day-to-day and long-term personal, interpersonal, social, physical and psychological challenges as a result of, and in addition to the health conditions they are susceptible to due to their HIV status. There is a dearth of large-scale research to provide robust prevalence estimates of mental health problems among PLHIV, especially in Nigeria. This study aimed to ascertain the prevalence and factors associated with major depressive episodes, suicidality, and alcohol use disorder among people living with HIV/AIDS in Nigeria.</p></sec><sec><title>Methods</title><p>A survey of 1187 participants aged 18 years and above was conducted within three HIV treatment centres in Abuja, Nigeria. Depression, suicidality, and alcohol use disorder modules of the WHO World Mental Health Composite International Diagnostic Interview questionnaire were used for this study. A socio-demographic questionnaire was also used to collect other health and demographic data. Descriptive statistics (frequency distribution, percentage, mean, median, mode, and standard deviation) and regression analyses were conducted to explore associations between mental health problems and demographic and other health-related factors.</p></sec><sec><title>Results</title><p>Twelve-month prevalence rates were 28.2% for major depressive episodes, 2.9% for suicidal ideation, 2.3% for suicide attempts, 7.8% for harmful alcohol use, 7.0% for alcohol abuse, and 2.2% for alcohol dependence. Major depressive episodes were significantly associated with having planned suicide and marital status. Suicidal ideation was significantly associated with major depressive episodes, marital status, and religion. Females were less likely to be diagnosed with alcohol disorders.</p></sec><sec><title>Conclusions</title><p>Some people living with HIV/AIDS also tend to suffer from depression, suicidality, and alcohol use disorders. 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Nelson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fisher, Jc" uniqKey="Fisher J">JC Fisher</name></author><author><name sortKey="Bang, H" uniqKey="Bang H">H Bang</name></author><author><name sortKey="Kapiga, Sh" uniqKey="Kapiga S">SH Kapiga</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chibanda, D" uniqKey="Chibanda D">D Chibanda</name></author><author><name sortKey="Cowan, F" uniqKey="Cowan F">F Cowan</name></author><author><name sortKey="Verhey, R" uniqKey="Verhey R">R Verhey</name></author><author><name sortKey="Machando, D" uniqKey="Machando D">D Machando</name></author><author><name sortKey="Abas, M" uniqKey="Abas M">M Abas</name></author><author><name sortKey="Lund, C" uniqKey="Lund C">C Lund</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Nigeria</li><li>États-Unis</li></country><region><li>Californie</li><li>Caroline du Nord</li></region></list><tree><country name="États-Unis"><region name="Californie"><name sortKey="Egbe, Catherine O" sort="Egbe, Catherine O" uniqKey="Egbe C" first="Catherine O." last="Egbe">Catherine O. Egbe</name></region><name sortKey="Kohrt, Brandon A" sort="Kohrt, Brandon A" uniqKey="Kohrt B" first="Brandon A." last="Kohrt">Brandon A. Kohrt</name></country><country name="Nigeria"><noRegion><name sortKey="Dakum, Patrick S" sort="Dakum, Patrick S" uniqKey="Dakum P" first="Patrick S." last="Dakum">Patrick S. Dakum</name></noRegion><name sortKey="Ekong, Ernest" sort="Ekong, Ernest" uniqKey="Ekong E" first="Ernest" last="Ekong">Ernest Ekong</name><name sortKey="Minto, John G" sort="Minto, John G" uniqKey="Minto J" first="John G." last="Minto">John G. Minto</name><name sortKey="Ticao, Cynthia J" sort="Ticao, Cynthia J" uniqKey="Ticao C" first="Cynthia J." last="Ticao">Cynthia J. Ticao</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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